Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Caddo River Medical Clinic PLLC

Organization Clinic/Center · NPI 1194644575

Caddo River Medical Clinic PLLC provides Clinic/Center services in Glenwood, Arkansas. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

180 Highway 70 E Ste 11
Glenwood, AR 71943-8810
Phone: (870) 669-9840
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1194644575
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rickey Mack — Owner · (870) 828-1151
NPI enumeratedJuly 10, 2026
Last updated in NPPESSeptember 22, 2026
Certification dateSeptember 22, 2026
Mailing address516 Highway 8 E, Glenwood, AR 71943-9222

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